Formative evaluation barrier/facilitator | DSF construct | Example ERIC implementation strategy | Definition of implementation strategy | Example tool or action to be included in playbook |
---|---|---|---|---|
Lack of knowledge about pre-incision prophylaxis, and harms associated with prolonged prophylaxis | Providers involved in intervention (intervention) | Conduct educational meeting | Hold meetings targeted toward different stakeholder groups to teach them about the clinical innovation | Educational sessions to focus on developing these skills |
Concern about “standard of care” and lack of resources to comply with established practices | Staffing, training (practice setting/context) | Conduct ongoing training Change clinic system | Plan for and conduct training in the innovation in an ongoing way Change clinic systems to allow better assessment of implementation or clinical outcomes | Development of webinar and in-person trainings, technology platform to provide new method of collaborating with surgical and infectious disease colleagues across sites |
Concern about lack of national-level policy and surveillance program to detect infections | Population characteristics (ecological system) | Develop and distribute educational material | Develop and format manuals, toolkits, and other supporting materials in ways that make it easier for stakeholders to learn about the innovation | FAQ sheets for patients, family members, staff, clinicians prior to Hybrid Type III testing of implementation strategies for sustaining SCIP |
Availability of Surgical Checklists, Protocols, and Order sets (facilitator) | Components (intervention) | Capture and share local knowledge | Capture local knowledge from sites on how clinicians made something work in their setting and share it with other sites | Example protocols that can be locally adapted and disseminated; Sharepoint site with resources for facilities |